Hybrid decompression technique and two-level corpectomy are effective treatments for three-level cervical spondylotic myelopathy  

作　　者：Yong LIU Ke-yi YU Jian-hua HU 

机构地区：[1]Department of Orthopaedics, Peking Union Medical College Hospital,Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing 100730, China

出　　处：《Journal of Zhejiang University-Science B(Biomedicine & Biotechnology)》2009年第9期696-701,共6页浙江大学学报（英文版）B辑（生物医学与生物技术）

摘　　要：The optimal surgical strategy for multilevel cervical spondylotic myelopathy （CSM） has not been defined, and few comparative researches between hybrid decompression and multilevel corpectorny have been conducted. Here, we reported 28 patients of three-level CSM, of whom 12 underwent hybrid decompression and 16 two-level corpectomy, with each type of procedure chosen according to radiologic characteristics of those patients. Clinical and radiologic parameters of both groups showed various degrees of improvement. However, no statistically significant differences in Japanese Orthopedic Association （JOA） score improvement rate, graft fusion rate, post-operative neck disability index （NDI） or segmental lordosis between the two groups were found. We conclude that both hybrid decompression and two-level corpectomy could obtain satisfying clinical efficacy in the management of three-level CSM for appropriate patients.The optimal surgical strategy for multilevel cervical spondylotic myelopathy (CSM) has not been defined, and few comparative researches between hybrid decompression and multilevel corpectomy have been conducted. Here, we reported 28 patients of three-level CSM, of whom 12 underwent hybrid decompression and 16 two-level corpectomy, with each type of procedure chosen according to radiologic characteristics of those patients. Clinical and radiologic parameters of both groups showed various degrees of improvement. However, no statistically significant differences in Japanese Orthopedic Association (JOA) score improvement rate, graft fusion rate, post-operative neck disability index (NDI) or segmental lordosis between the two groups were found. We conclude that both hybrid decompression and two-level corpectomy could obtain satisfying clinical efficacy in the management of three-level CSM for appropriate patients.

关 键 词：Three-level cervical spondylotic myelopathy （CSM） Hybrid decompression CORPECTOMY 

分 类 号：F763[经济管理—产业经济] U491.254[交通运输工程—交通运输规划与管理]